<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>注册表单</title>
    <link type="text/css" rel="stylesheet" href="aa.css">
    <style type="text/css">
            h1 {
            background-color: #333;
            color: white;
            text-align: center;
            padding: 1em;
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               dbbt {
            background-color: #333;
            color: white;
            text-align: center;
            padding: 1em;
            position: absolute;
            bottom: 0;
            width: 100%;
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     </style>
</head>
<body>
  <h1>通用会议注册表</h1>
<center>
<fieldset>

                   <legend align="center">基本信息</legend>

<form action="Success.html" target="_blank" method="get">
			<table border="0" cellspacing="" cellpadding="">


          <tr>
                   <td><label for="name">参会者姓名：</label></td>
                  <td><input type="text" id="name" name="name" placeholder="请输入姓名" required></td>
           
                   <td> <label for="zhiwu">职务：</label></td>
                   <td><input type="text" id="zhiwu" name="zhiwu" placeholder="你在负责的职务" required></td>

                   <td><label for="danwei">工作单位：</label></td>
                   <td><input type="text" id="gzdw" name="gzdw" placeholder="你的工作单位" required></td>
</tr>
           <tr>
                    <td><label for="dianhua">手机号码：</label></td>
                   <td><input type="number" id="sjhm" name="sjhm" placeholder="你的联系电话" required></td>
             
        
                     <td><label for="email">电子邮件：</label></td>
        <td><input type="email" id="email" name="email" placeholder="请输入你的电子邮箱" required></td>

                    <td><label for="password">密码：</label></td>
        <td><input type="password" id="password" name="mima" placeholder="你用于登入的密码" required></td>
         </tr>
           <tr>
                  <td> <label for="confirm_password">确认密码：</label></td>
                   <td><input type="password" id="confirm_password" name="confirm mima" placeholder="确认你的密码" required></td>
                      <td> <label for="guojia">所在国家：</label></td>
                    <td><select name="guojia">
							<option value ="0">选择你的国家</option>
							<option value ="1">中国</option>
							<option value ="2">美国</option>
							<option value ="3">日本</option>
							<option value ="4">法国</option>
							<option value ="5">意大利</option>
							<option value ="6">俄罗斯</option>
							<option value ="7">英国</option>
						</select>
                        </td>


					<td><label>出生日期:</label></td>
        <td><input type="date" id="zhuce" name="zhuce" required></td>
</tr>
<tr>
        <td><label>性别：</label></td>
        <td><input type="radio" id="man" name="gender" value="man" required>
       <label for="male">男</label>
        <input type="radio" id="women" name="gender" value="women" required>
        <label for="female">女</label></td>

        <td><label for="zhuce">注册日期：</label></td>
        <td><input type="date" id="zhuce" name="zhuce" required></td>
          <td> <label for="shengfen">所在省份：</label></td>
        <td><select name="shengfeng">
							<option value ="0">选择你的省份</option>
							<option value ="1">北京市</option>
							<option value ="2">上海市</option>
							<option value ="3">重庆市</option>
							<option value ="4">天津市</option>
							<option value ="5">广东省</option>
							<option value ="6">甘肃省</option>
							<option value ="7">山东省</option>
						</select>
                    <input type="text" size="1" name="chengshi" placeholder="城市"/>市
</td>
</tr>
 <br>
 </center>
</fieldset>
<tr><th colspan="6"><fieldset>
会议费标准（rmb）
</fieldset></th></tr>
<tr>
                <td>身份/时间：</td><td><td></td></td>
                <td><input type="date" id="time" name="time" required>之前注册</td><td></td>
               <td><input type="date" id="time" name="time" required>之前注册</td>
</tr>
<tr>
                <td><label for="huiyuan">会员</label></td> <td></td><td></td>
          <td><input type="radio" id="1500" name="money" value=" " /required>
       <label for="male">1500元</label></td><td> </td>
        <td><input type="radio" id="1800" name="money" value=" "/ required>
        <label for="female">1800元</label></td>
</tr>
<tr>
                <td><label for="huiyuan">非会员</label></td> <td></td><td></td>
          <td><input type="radio" id="1800" name="money" value=" " /required>
       <label for="male">1800元</label></td><td> </td>
        <td><input type="radio" id="2000" name="money" value=" "/ required>
        <label for="female">2000元</label></td>
</tr>

</form>
</table>

       <!-- 提交按钮 -->
			<input type="submit" value="提交" />
			<input type="submit"  onclick="reset();return false;" value="重填" />	
</center>
<dbbt>
遇到问题请发邮件到2927230480@qq.com
<dbbt>
</body>

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